Surgeons and Experts’ Perspectives in Concomitant Bariatric Surgery with Cholecystectomy: Bari-Chole Egypt Survey

@article{elkaseer2026surgeons,
  title = {{Surgeons and Experts’ Perspectives in Concomitant Bariatric Surgery with Cholecystectomy: Bari-Chole Egypt Survey}},
  author = {Mohamed ElKaseer and Mahmoud ElSafty and Hassan El-Masry and Waleed A. Anber and Mohamed S. Elgendy and Hamdy Khaled Sabra and Mohammed Ibrahim El Sayed Henish and Mohamed Tolba and Abd-Elfattah Kalmoush and Mahmoud Ashraf Hussein and Ahmed Abo Elmagd and Khaled Gawdat and Ahmed Abokhozima and Abdelhafez Selim and Abdelhafez Selim and Abduh Elbanna and Abdelfattah Abozaid and Ahmed Abdelsalam and Ahmed Aboelmagd and Ahmed Alghamery and Ahmed Badawy and Ahmed El Assal and Ahmed Elfeky and Ahmed Fadaly and Ahmed Farid Ahmed and Ahmed Hamza and Ahmed Hassan Mohamed Soliman and Ahmed Hosny Darwish and Ahmed Khalil and Ahmed M. Kandel and Ahmed Mehrez Gad and Ahmed Mohammed Abdelfatah Ali and Ahmed Shibl and Ahmed Taher and Aiman Mandour Ismaeil and Alaa Abbas and Alaa Abdelaty Mahmoud and Alaa Amer and Alaa Badawy and Alaa Sewefy and Aliaa Selim and Amr Madyan and Ashraf Elattar and Ayman Abou Shmeila and Ayman El-Wakeel and Ayman M. Elwan and Emad Abdullah and Eslam Habib and Gamal Maher El Sayed Tofaha and George Ezzat Fahmy Hanna Yacoup and Haitham H. Mohy and Hamdi Elbelkasi and Hamdy Sedky and Hany Armia Balamoun and Hesham A. Elmeligy and Hesham Abdallah and Hosam M. Elghadban and Hosam M. Hamza and Hossam Ramadan Moussa and Husseiny Nabil},
  journal = {Obesity Surgery},
  year = {2026},
  month = oct,
  doi = {10.1007/s11695-026-08907-8},
  url = {https://doi.org/10.1007/s11695-026-08907-8},
  note = {CC BY 4.0},
}

TY  - JOUR
TI  - Surgeons and Experts’ Perspectives in Concomitant Bariatric Surgery with Cholecystectomy: Bari-Chole Egypt Survey
AU  - Mohamed ElKaseer
AU  - Mahmoud ElSafty
AU  - Hassan El-Masry
AU  - Waleed A. Anber
AU  - Mohamed S. Elgendy
AU  - Hamdy Khaled Sabra
AU  - Mohammed Ibrahim El Sayed Henish
AU  - Mohamed Tolba
AU  - Abd-Elfattah Kalmoush
AU  - Mahmoud Ashraf Hussein
AU  - Ahmed Abo Elmagd
AU  - Khaled Gawdat
AU  - Ahmed Abokhozima
AU  - Abdelhafez Selim
AU  - Abdelhafez Selim
AU  - Abduh Elbanna
AU  - Abdelfattah Abozaid
AU  - Ahmed Abdelsalam
AU  - Ahmed Aboelmagd
AU  - Ahmed Alghamery
AU  - Ahmed Badawy
AU  - Ahmed El Assal
AU  - Ahmed Elfeky
AU  - Ahmed Fadaly
AU  - Ahmed Farid Ahmed
AU  - Ahmed Hamza
AU  - Ahmed Hassan Mohamed Soliman
AU  - Ahmed Hosny Darwish
AU  - Ahmed Khalil
AU  - Ahmed M. Kandel
AU  - Ahmed Mehrez Gad
AU  - Ahmed Mohammed Abdelfatah Ali
AU  - Ahmed Shibl
AU  - Ahmed Taher
AU  - Aiman Mandour Ismaeil
AU  - Alaa Abbas
AU  - Alaa Abdelaty Mahmoud
AU  - Alaa Amer
AU  - Alaa Badawy
AU  - Alaa Sewefy
AU  - Aliaa Selim
AU  - Amr Madyan
AU  - Ashraf Elattar
AU  - Ayman Abou Shmeila
AU  - Ayman El-Wakeel
AU  - Ayman M. Elwan
AU  - Emad Abdullah
AU  - Eslam Habib
AU  - Gamal Maher El Sayed Tofaha
AU  - George Ezzat Fahmy Hanna Yacoup
AU  - Haitham H. Mohy
AU  - Hamdi Elbelkasi
AU  - Hamdy Sedky
AU  - Hany Armia Balamoun
AU  - Hesham A. Elmeligy
AU  - Hesham Abdallah
AU  - Hosam M. Elghadban
AU  - Hosam M. Hamza
AU  - Hossam Ramadan Moussa
AU  - Husseiny Nabil
PY  - 2026
DA  - 2026/10/05
JO  - Obesity Surgery
DO  - 10.1007/s11695-026-08907-8
UR  - https://doi.org/10.1007/s11695-026-08907-8
AB  - Introduction: The management of gallbladder disease during metabolic and bariatric surgery (MBS) remains controversial. Cholelithiasis is common in patients with obesity, yet the approach to concomitant or prophylactic cholecystectomy varies, with limited data from Egypt. This study aimed to assess Egyptian bariatric surgeons’ practices, attitudes, and decision-making regarding cholecystectomy during MBS.  Methods: A national cross-sectional survey was distributed to bariatric surgeons in Egypt, collecting information on demographics, surgical experience, preoperative screening, intraoperative decision-making, postoperative management, and prophylactic practices. The questionnaire included structured, closed-ended questions. Data were analyzed descriptively and compared between IFSO members and non-members using chi-square or Fisher’s exact tests, with p < 0.05 considered significant.  Results: A total of 117 surgeons participated, predominantly male (99%), with 16.2% IFSO members. Bariatric surgery was concentrated in Cairo (42%) and Alexandria (26%). Most surgeons (97%) screened gallstones preoperatively using abdominal ultrasound. Concomitant cholecystectomy was preferred for documented gallstones by 78%, while 82% never performed prophylactic cholecystectomy in patients with normal gallbladders. The majority performed the bariatric procedure first (82%) in reverse Trendelenburg position (88%), minimizing additional ports. Routine intraoperative cholangiography was rare (1.7%). Postoperative management largely mirrored isolated bariatric surgery, although antibiotic and drain practices differed between groups. Surgeons generally perceived combined procedures as safe, with 76% reporting no increase in complications and 89% reporting similar length of stay.  Conclusion: Egyptian bariatric surgeons consistently screen for gallstones and favor concomitant cholecystectomy for documented stones, while largely avoiding prophylactic removal of normal gallbladders. Variation exists in intraoperative management and postoperative care. These findings highlight areas for standardization and support the development of a national pathway and multicenter registry to optimize gallbladder management in MBS.
SN  - 0960-8923
SN  - 1708-0428
ER  -